•  Please type in all information, print and sign.
  • Attach a voided check to your completed application and return to:
                       South Point Utilities, 408 2nd St. W., South Point OH  45680
  •  After agreement is processed, which takes 6 days, your bank account will be debited the 12th of
    the following month and every month thereafter, until we are notified otherwise, for the amount of
    your current South Point Utilities bill.   You will continue to receive a bill each month showing your
    activity for your records.
DIRECT DEBIT
AUTHORIZATION
AGREEMENT
&
APPLICATION
408 2nd St. W.
South Point OH 45680
ph 740-377-2304
New
 Change
 SPU Account Number(s)
Name on Account:
Mailing Address:
City, State, Zip
Phone Number
 Cell Number
Financial Institution
Mailing Address:
Account Type:  Checking
 Savings
Bank Routing Number (9 digits)
Your Bank Account Number
Signature:______________________________________
 Effective Date